<template>
    <el-main>
        <ep-breadcrumb></ep-breadcrumb>
        <el-main class="ep-body">
            <epl-top-bar :datas="{formData:form,panel:panel}" showPerson personType="PERSON_ALL_EXACT" psTagType="PERSON_INJURY_QUERY">
                <ep-button size="small" name="刷新"></ep-button>
            </epl-top-bar>
			<epl-userMessage dataType="person" idCount="4" >
            </epl-userMessage>
             <el-collapse v-model="activeNames" @change="handleChange">
        <el-collapse-item title="认定鉴定信息" name="1">
                <el-card class="ep-card">
                <el-form :model="form" ref="form" :rules="rules">
                    <el-row :gutter="10">
                        <ep-input colspan="8" label="工伤认定书编号" name="alc011" :property="form.alc011" placeholder=""
                                  p="D"  ></ep-input>
                        <ep-input colspan="8" label="单位管理码"  name="aab999" :property="form.aab999" placeholder=""
                                  p="D"  ></ep-input>
                        <ep-input colspan="8" label="单位名称" name="aab069" :property="form.aab069" placeholder=""
                                  p="D" ></ep-input>
                    </el-row>
                    <el-row :gutter="10">
                        <ep-date colspan="8" label="工伤发生时间" name="alc020" :property="form.alc020" placeholder=""
                                  p="D"  ></ep-date>
                        <ep-date colspan="8" label="工伤认定日期"  name="alc031" :property="form.alc031" placeholder=""
                                  p="D" ></ep-date>
                        <ep-select colspan="8" label="工伤认定结论" name="ala015" :property="form.ala015" placeholder=""
                                  p="D"  codetype="ALA015"  ></ep-select>
                    </el-row>       
                    <el-row :gutter="10">
                        <ep-select colspan="8" label="伤害部位1" name="alc042" :property="form.alc042" placeholder=""
                                  p="D"  codetype="ALC042" ></ep-select>
                        <ep-select colspan="8" label="伤害部位2" name="alc043" :property="form.alc043" placeholder=""
                                  p="D"  codetype="ALC043" ></ep-select>
                        <ep-select colspan="8" label="伤害部位3" name="alc044" :property="form.alc044" placeholder=""
                                  p="D"  codetype="ALC044" ></ep-select></el-row>    
                    
                    <el-row :gutter="10">
                        <ep-select colspan="8" label="职业病名称1" name="ala017" :property="form.ala017" placeholder=""
                                  p="D"  codetype="ALA017">
                        </ep-select>
                       
                    <ep-date colspan="8" label="劳动能力鉴定日期"  name="alc034" :property="form.alc034" placeholder="" 
									p="D" ></ep-date>
                   <ep-select colspan="8" label="伤残等级" name="ala040" :property="form.ala040" placeholder=""
									p="D" codetype="ALA040"  ></ep-select>
                    </el-row>
                    <el-row :gutter="10">
                    <ep-select colspan="8" label="生活自理障碍等级" name="alc060" :property="form.alc060" placeholder=""
									p="D" codetype="ALC060"  ></ep-select>
                    <ep-date colspan="8" label="因工死亡日期"  name="alc040" :property="form.alc040" placeholder=""
									p="D" ></ep-date>      
                     <ep-input colspan="8" label="老工伤标识" name="bae476" :property="form.bae476" placeholder=""
									p="D" ></ep-input>                          
                    </el-row>
                </el-form>
                </el-card>
            </el-collapse-item>
            <el-collapse-item title="请输入交通事故赔偿信息"  name="2">
                    <el-card class="ep-card">
                        <el-form :model="form" :rules="rules">
                            <el-row :gutter="10">
                                <ep-input colspan="8" label="医疗费" name="ylf" :property="form.ylf"  placeholder="请输入医疗费"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_ylf" :property="form.sblp_ylf"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_ylf" :property="form.hdlp_ylf"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="医疗费余额" name="ye_ylf" :property="form.ye_ylf"  placeholder="请输入医疗费余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="住院伙食费" name="zyhsf" :property="form.zyhsf"  placeholder="请输入住院伙食费"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_zyhsf" :property="form.sblp_zyhsf"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_zyhsf" :property="form.hdlp_zyhsf"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="住院伙食费余额" name="ye_zyhsf" :property="form.ye_zyhsf"  placeholder="请输入住院伙食费余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="辅助器具费" name="fzqjf" :property="form.fzqjf"  placeholder="请输入辅助器具费"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_fzqjf" :property="form.sblp_fzqjf"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_fzqjf" :property="form.hdlp_fzqjf"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="辅助器具费余额" name="ye_fzqjf" :property="form.ye_fzqjf"  placeholder="请输入辅助器具费余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="统筹外交通费" name="tcwjtf" :property="form.tcwjtf"  placeholder="请输入统筹外交通费"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_tcwjtf" :property="form.sblp_tcwjtf"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_tcwjtf" :property="form.hdlp_tcwjtf"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="统筹外交通费余额" name="ye_tcwjtf" :property="form.ye_tcwjtf"  placeholder="请输入统筹外交通费余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="统筹外伙食费" name="tcwhsf" :property="form.tcwhsf"  placeholder="请输入统筹外伙食费"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_tcwhsf" :property="form.sblp_tcwhsf"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_tcwhsf" :property="form.hdlp_tcwhsf"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="统筹外伙食费余额" name="ye_tcwhsf" :property="form.ye_tcwhsf"  placeholder="请输入统筹外伙食费余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="统筹外住宿费" name="tcwzsf" :property="form.tcwzsf"  placeholder="请输入统筹外住宿费"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_tcwzsf" :property="form.sblp_tcwzsf"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_tcwzsf" :property="form.hdlp_tcwzsf"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="统筹外住宿费余额" name="ye_tcwzsf" :property="form.ye_tcwzsf"  placeholder="请输入统筹外住宿费余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="伤残补助金" name="scbzj" :property="form.scbzj"  placeholder="请输入伤残补助金"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_scbzj" :property="form.sblp_scbzj"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_scbzj" :property="form.hdlp_scbzj"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="伤残补助金余额" name="ye_scbzj" :property="form.ye_scbzj"  placeholder="请输入伤残补助金余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="工亡补助金" name="gwbzj" :property="form.gwbzj"  placeholder="请输入工亡补助金"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_gwbzj" :property="form.sblp_gwbzj"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_gwbzj" :property="form.hdlp_gwbzj"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="工亡补助金余额" name="ye_gwbzj" :property="form.ye_gwbzj"  placeholder="请输入工亡补助金余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="丧葬补助金" name="szbzj" :property="form.szbzj"  placeholder="请输入丧葬补助金"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_szbzj" :property="form.sblp_szbzj"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_szbzj" :property="form.hdlp_szbzj"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="丧葬补助金余额" name="ye_szbzj" :property="form.ye_szbzj"  placeholder="请输入丧葬补助金余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="医疗补助金" name="ylbzj" :property="form.ylbzj"  placeholder="请输入医疗补助金"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_ylbzj" :property="form.sblp_ylbzj"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_ylbzj" :property="form.hdlp_ylbzj"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="医疗补助金余额" name="ye_ylbzj" :property="form.ye_ylbzj"  placeholder="请输入医疗补助金余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="鉴定费" name="jdf" :property="form.jdf"  placeholder="请输入鉴定费"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_jdf" :property="form.sblp_jdf"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_jdf" :property="form.hdlp_jdf"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="鉴定费余额" name="ye_jdf" :property="form.ye_jdf"  placeholder="请输入鉴定费余额"
                                     p="R" ></ep-input>
                            </el-row> 

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="鉴定费" name="jdf" :property="form.jdf"  placeholder="请输入鉴定费"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="申报理赔额" name="sblp_jdf" :property="form.sblp_jdf"  placeholder="请输入申报理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="核定理赔额" name="hdlp_jdf" :property="form.hdlp_jdf"  placeholder="请输入核定理赔额"
                                     p="R" ></ep-input>
                                <ep-input colspan="8" label="鉴定费余额" name="ye_jdf" :property="form.ye_jdf"  placeholder="请输入鉴定费余额"
                                     p="R" ></ep-input>
                            </el-row>

                            <el-row :gutter="10">
                                <ep-input colspan="8" label="申报理赔总额" name="sblp_ze" :property="form.sblp_ze"  placeholder=""
                                     p="D" ></ep-input>
                                <ep-input colspan="8" label="核定理赔总额" name="hdlp_ze" :property="form.hdlp_ze"  placeholder=""
                                     p="D" ></ep-input>
                                <ep-input colspan="8" label="划入定期扣减金额" name="dqkjje" :property="form.dqkjje"  placeholder=""
                                     p="D" ></ep-input>
                            </el-row>                        
                        </el-form>
                    </el-card>
                </el-collapse-item>
             </el-collapse>
        </el-main>
    </el-main>
</template>


<script src="../js/TrafficAccAfter2018JS.js"></script>
